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Home My WebLink AboutPermit Building 2000-03-27SPRIN(iFIELD Job# 99-01614-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 TRANS*:01-0001055 DATE:HAR 2? 2OOO ffl{T REID:Z $ ?919.11 IHANEE: CASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 412 00012th St Spr AssessorsMap#: 17033514 Lot: Block: Addition Job Number: 99-01614-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 12000 Subdivision: ctTY oF SPRTNGFTELD, OREGON Owner: Ray Shirtcliff Address: 2373 Centennial Scope Of Work: Duplex Phone Number: 541-344-2738 City/State/Zip: Springfield, OR97477 Alteration Value: $26,250 Converting Church Building to a Oregon Uti litlr lt1s1;1;catior', Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 2 (VN) Wood Frame Office Use - Land Use: Zoning Gode: Bedrooms: 4 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Build Floor lnsulation Ceiling lnsulation Framing Walllnsulation Drywal! Firewall Final Building Plumbinq -Prior to decking. NOTICE: -Prior to cover. -priorto cover. THISPERMITSHALLEXPIREIFTHEWORK .PT|OTtOCOVCT AUTHORIZEDUNDERTHISPERMITISNOT - Prior to taping. COMMENCED OR lS ABANDONED FOB :hff:li1li;1,.li1Tj;:1,4X$ffi ffitffi Blq"%.andthebuirdinsiscomprete - Prior to insulation or decking. - Prior to cover. -When all plumbing work is complete Mechanical - Prior to cover. -When all mechanicalwork is complete. Underfloor Plumbing Rough Plumbing FinalPlumbing Rough Mechanical Final Mechanical Street lmprovement: Curb Cut?[ San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: lmprovement Agr.?[ 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Job# 99-01614-01 Page 2 of 3 tr 00/00/0000 00:00 AM Types Of Warning Devices Reqd Zoning: FloodPlain? Journa! numbers 1: Comments: Planner: Urban Growth Boundary? Quantity Of Fil!: Supplier: Drainage: Floodway FEMA: Wetlands? [ Overlay District: # of Street Trees:4 3 Additional Requirements: t] Glenwood Area? ! Required Attachments: Source Locn: Materia!: Land Use: Pave Driveway? 2 Flood Plain FEMA: (Sq. Feet) Main Accessory: # Of Stories: 2 Height (feet): Current Units:O Proposed Units:2 Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 03/01/2000 36296 26,250 $1 16.68 $116.68 Buil Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0312712000 03t27t2000 0312712000 26,250 $179.50 $12.57 $5.39 $197.46 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plu 0312712000 0312712000 03t27t2000 03t2712000 1 055 1 055 1 055 1 055 7 $.00 $70.00 $4.90 $2.10 $77.00 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? ! 1 055 1 055 1 055 Job# 99-01614-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 0312712000 0312712000 03t27t2000 03t27t2000 03t27t2000 0312712000 03t27t2000 1 055 1 055 1 055 1 055 1 055 1 055 1 055 2 $e.00 $.00 $.72 $9.00 $6.00 $10.00 $1.68 $36.40 3 2 Sanitary Sewer SDC Administrative Fee Total System Development System Development 03t27t2000 0312712000 1 055 1 055 15 $724.05 $36.20 $760.25 Duplex - Willamalane TotalWillamalane SDC Willamalane SDC 03t2712000 1055 1 $1,848.00 $1,848.00 Grand Total Plan Check Type re By Date Completed 03/01/2000 $3,035.79 c3-A7-e) Date Willamalane Fa?t a n-ecreatiori District Job. No. sYSrEM rfi[fr,?sllH cH ARG E NAME: ADDRESS: PHoNE: ? (/'---<b srATE: F ?JP2 a?4-7 LOCATION OF PROFOSED BUILDING SITE: Street Address:Z Trt Plat Name:Tax Lot Number: 1. DEVELOPMENT TYP.E (check ype definiiions are on the back.) A. Single-Family Detached Single FamilY home appropriate dwelling(s). SDC calculations and dwelling t -Manufactured home not in a Park B. Single-Family Attaehed NO. OF UNITS Z X $924 per unlt $I s4?,,. C. Multi-Family APafiment D. Manufac'tured Homo Park WILLAMALANE SDC 2. SDC CREDIT (lf applicablo) SDCPayor must-(umlsh proot o[ wiltamalane ireoit'"pproval. seo sDc oredl worksheot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (l( SDC reduced (or Gredit) UJd"-- Develo City of $ -Lr-?1 r 6b $ $ $ $\ {'+( Department Date _a JOURI\AL OT )B NO. ATTACHMENT A Q?r.-r4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY LOCATION:4rt 4 4i+ tzru DEVELOPMENT TYPE Ctt,-tttC14 Ta D o Pce Y Co ut&rzS ta D BUILDING SZE SIZE 1. STORMDRAINAGE rJo Ra,v cu*t*e, otrLf)ruvc'n'a7 ?Po?ossD Q.Ft 7 o{ $ $ $ S <$ $10 .00 IMPERVIOUS SQ. FT x$0.232 PER SQ. FT 2. SANITARY SEWER-CITY NO. OF PFU'S l(X $48.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP X X $486.73 PER TRIP x _ x $486.73 PER TRIP 4. SAMTARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X _ PER FEU B. IMPROVEMENT COST: NO. OF FEU'S _ X PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE TOTAL-MWMC SDC S SUBToTAL (ADD ITEMS 1,2,3 & 4)s 7z+.o{ 5. ADMINISTRATIVE FEES:S 36,")BASE (suBToTAL ABOVE) X .0s SDC Coordinator ATTACH'A.WPD TOTAL SDC .-s 7@, Z5 $ €-- Date: )- T-od FIXTURE UNIT CALCULATION TABLE: Number of New Fix''-es X Unit Equivalent : Fixture Units (NOTE: For remodels, calculate only the 'additional fixrures) NUMBEROF UNIT FIXTURE FIXTURE TYPE IgWJIXTIJBES- EQUIVALENT UNITS 'z- Drinking Fountain Floor Drain........... Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto Wash/Etc. Iaundry Tub/Clotheswasher/lvlop Sink.................... 2 I 2 3 6 2 6 6 I J 2 Clotheswasher - 3 Or More. Mobile Home Park Trap (l Per Trailer).. Receptor For RefrigeratorAVater StationrEtc........... Receptor For Commercial Sink/Dishwasher/Etc...... Shower, Single Stall. Shower, Gang. Sink: Bar, Commercial, Residential Kitchen............Z 4 Urinal, StallrWall..,.. Wash Basin/Lavatory, Single... Toilet, Public Installation......... Toilet , Private. Miscellaneous: TOTAL FIXTURE LTNITS t{ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits Credit for Parcel or t and Only If Applicable x $_ (Rate X Assessed Value) Improvement (if after arurexation date)x $_ @ate X Assessed Value) CREDIT TOTAL - $ 1/Head + 2 2 I 6 4 Year Annexed Year Annexed Rate per $ 1,000 Assessed Value 1979 or before 1980 l98l 1982 r983 1984 1985 1986 1987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1989 1990 l99l t992 1993 1994 1995 1996 1997 r998 2.t8 1.75 1.35 t.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential... Commerical., Industrial...... Governmental. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT I Rate per $ 1,000 Assessed Value qT,el6t4-01 " 1 1)14-0 Page 1 of3 s I ", iltu +* {"t - PEP' , ir' lfie ., . ic:s L, .: iety / . d tion: Job Number: 99-01614-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 12000 Subdivision: I 22'I s; 11 Lo. As: - Lot: l {rt t{f Own'. Ad.'"- Scc t_PI -i.l'' rber: iip: 541-344-2738 Springfield, OR97477 Value: $26,250 '( Qrr 'i', #C,L Co"" ' w, ,r I fl 'cf , - u; ' -rmily Hs # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: -t To ec., a.rrl. wr, wc,rking Rough Ele t 'i Underfloo r' Rough Plu Final Plum Rough Me'. Final Mech '' 'c 26 37: IUCST tr, ,..1sf o, ,l;n. :o Ji:' Lr :s ira', =;.- lcaI u t illn , llr - lt;rplc' .-i Pr x(rl* F"-@ rections requested before 7:00 C a.m. will be made the following S l Floor lns Cerling lr: r i Framing Wall lnsul Drywall Firewall Final Builc tl ' proved and the building is complete. , '' lmn tr& PREGOTV 2W& tr -a L I L --ol; _91 Page 2 of 3 ,valk Type: :rcna! ROW? tr' f Line (in): pouts/Drains: oachment Permit: iewer Tee (in): End DateTime: 00/00/00 00:00 AM Cf Warning Devices Reqd. Street Imp Curb Cut? San Sewer Storm Serr . Special Rcq . Security Rcr Bond Begin Specia! !n Other Utili Project Sul Zoning: FloodPIain. Journi, I 1: Comnn - Planner: Urban Gro Quantity C Supplier: Drainage: Floodway I Constructi.l, Occupanc # Of Build; # Of Bedr< Handicap, lArea (Sq II Main:L- Fee Residentii Total Plai A^ rAr ct: les Land Use: Duplex or 2-Family Hs Pave Driveway? E Addit Requ S our, llate -; uirements ;hments: Floo..EMA: .): C;rt Plarr ,c 1 /2000 Height (feet): Proposed Units:2 hed , ,ipt# Value/Quantity Fee Amount 'r6 26,250 $116.68 $116.68 26,250 $179.s0 $12.s7 $5.39 $197.46 Lr L Puilding P State Surr Building A Total Bui, , j 5 5 5 I l :l I,] ;l,i 7 $.00 $.oo $70.00 $+.go $2.80 $40.00 $2.10 CO 75 ,nn,- lrlinimum' g' Minimurr g Number c - State Sur State Sur Water Se ' . Plumbing , tr Page 3 of 3 :;ipffi Value/Quantity Fee Amount $1.20 $r21.00 $e.oo $.00 $.72 $9.00 $6.00 $10.00 $1.68 $36.40 r )Ot $724.05 $724.05 $36.20 ,'! 1e 14."' Fee Plumbing Total Pltr ,ir , : PlLr Crr L I ,i'' ?-, ri, r I I I t);.. \' t(" :t 2 Hood anr' Minimun: ,! Mechani Vent Far, Dryer Ver: Mechanic:rl l: State Sur '.^ Total Mc t:5 ,55 ,55 j _i 055 355 2 3 2 ;l I Sanitary' Sanitary SDC Ad Total Sy - -,r i' - )' Duplex -' ';tt' TotalW' Grand Tc PIan Ch Structur ; ) ) 15 15 $1,484.30 ll i l' n r55 1 $1,848.00 $1,848.00 $3,803.84 By signai -, hereby cc, iif5 ' performc the Stat. of any s certify tt, this projc lfurtheraddress ) approve i .l lomment rted application and do certify that any and all work f Springfield and the Laws of {O OCCUPANCY will be made' Building Safety. lfurther ;1S 701.055 will be used on ' -, proper time, that each front of the property, and the ion. Date r )( t', Signatur